Sprain of unspecified sternoclavicular joint, sequela

This code signifies a sprain of the sternoclavicular (SC) joint, where the specific side (left or right) is not documented, and the injury is a long-term consequence or late effect of an initial sprain. It indicates that the patient is experiencing residual symptoms or complications from a past SC joint sprain.

Use this code when documentation clearly states a sprain of the sternoclavicular joint, without specifying laterality, and the condition is identified as a sequela. This is appropriate for chronic pain, instability, or other persistent issues directly attributable to a previous SC joint sprain. It should be assigned when the acute phase of the injury has passed.

• Always ensure the "S" seventh character for sequela is appropriate for the patient's current condition.
• Look for documentation explicitly stating "sequela," "late effect," "chronic," or similar terms linking current symptoms to a past SC joint sprain.
• Avoid using this code for acute injuries; instead, select an acute sprain code with the appropriate seventh character.